Fifty pregnant patients with acquired and congenital heart disease between 38-41 weeks were randomised into elective induction and spontaneous labour groups only after bishop score was equal to or more than 6.It was concluded that induction of labour with oxytocin is a relatively safe procedure in women with low risk heart disease with NYHA class I and II. It resulted in a similar caesarean delivery rate and was not associated with more maternal and neonatal complications.
Induction of labour was done with oxytocin. An infusion of 30U oxytocin diluted in 500ml normal saline was prepared and given through infusion pump at initial rate of 3mU/min. Subsequently dose was increased 3mU/min every 45 min till adequate uterine contractions were established. Epidural analgesia was provided wherever feasible or Injection Morphine 2-5mg was given intravenously for pain relief.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
50
Arm - Induction of labour
Post Graduate Institute of Medical Education and Research
Chandigarh, Chandigarh, India
Duration of labour
Time frame: at the time of delivery
Rate of caesarean section
mode of delivery and rate of caesarean section with indication
Time frame: at the time of delivery
Number of patients with delivery during workday hours
Time frame: at the time of delivery
number of patients with maternal complications
maternal complications include postpartum hemorrhage, infection, cardiac complications and number of maternal deaths
Time frame: day 5
number of patients with adverse neonatal outcome
apgar score number of admissions to neonatal intensive care unit number of neonatal deaths
Time frame: day 5
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